| IVOD_ID |
160242 |
| IVOD_URL |
https://ivod.ly.gov.tw/Play/Clip/1M/160242 |
| 日期 |
2025-04-16 |
| 會議資料.會議代碼 |
委員會-11-3-26-6 |
| 會議資料.會議代碼:str |
第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議 |
| 會議資料.屆 |
11 |
| 會議資料.會期 |
3 |
| 會議資料.會次 |
6 |
| 會議資料.種類 |
委員會 |
| 會議資料.委員會代碼[0] |
26 |
| 會議資料.委員會代碼:str[0] |
社會福利及衛生環境委員會 |
| 會議資料.標題 |
第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議 |
| 影片種類 |
Clip |
| 開始時間 |
2025-04-16T11:44:12+08:00 |
| 結束時間 |
2025-04-16T11:52:03+08:00 |
| 影片長度 |
00:07:51 |
| 支援功能[0] |
ai-transcript |
| video_url |
https://ivod-lyvod.cdn.hinet.net/vod_1/_definst_/mp4:1MClips/f9d2e74df98279dfea24215981b00fe3d598beef862d51bbebda33721556222aefbef1088df2b8325ea18f28b6918d91.mp4/playlist.m3u8 |
| 委員名稱 |
賴士葆 |
| 委員發言時間 |
11:44:12 - 11:52:03 |
| 會議時間 |
2025-04-16T09:00:00+08:00 |
| 會議名稱 |
立法院第11屆第3會期社會福利及衛生環境委員會第6次全體委員會議（事由：邀請衛生福利部部長就「面對國際經貿情勢瞬變，我國如何因應並確保藥品、醫療器材等各面向供應正常，保障國人權益。」進行專題報告，並備質詢。
【4月16日及17日二天一次會】） |
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各位先請有請邱部長請教你我有兩大問題第一大問題就是全台醫院的個別總額是不是上路了 |
| transcript.whisperx[1].start |
17.922 |
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對 因為什麼時候上路台北區在四月會上路四月第一季嘛這個月是全國上路的全國上路了結果上路來講的話就馬上產生問題台大已經產生問題了台大的處分集的他只看80個掛號100個後面20個幾乎都沒有辦法看了這問題已經產生了 |
| transcript.whisperx[2].start |
43.163 |
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因為這個又跟你的因為你們要配為了要配合達到總額總額的等於是要.95嘛為了要.92.90是.95吧.95嘛因為這個東西啊就有一點朝三暮四朝四暮三的這有點騙社會的感覺喔你.95就讚的啊結果不是啊結果結果一來的話大醫院根本就砍光風啊後面就砍掉啦 |
| transcript.whisperx[3].start |
68.511 |
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這個情況是已經發生了 台大醫院已經發生了阻濫級的 他的掛號的掛100個 原來看100個 因為實施了這個醫院的總額入治然後就變成只看80個 剩下20個只能辦 |
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報告委員吼委員真的也是一絲家庭吼不跟你 也了解醫界的環境我在台大看那麼多人的病每次剛好看完走回來跟心臟科教授講說我今天好累喔我今天看了50個病人其中只有其中真的可以看他心臟科只需要2這裡面只有20個其他根本就應該screen在基層醫院所以那是強迫強迫做好分期的工作所以如果說 |
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這第七遍啦所以他30歲沒辦法在他看所以把一個心臟科的教授搞得很累來影響到20個可能真正需要做導管 心力不整所以這個是過去不好的現象 |
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我們現在利用這樣的機會如果有做區域的整合那也可以做分級的醫療我覺得這是一個非常重要的你這個做的話我不知道了以我們市場機制來講只有一條路嘛你把這個醫學中心的關號會提高這樣而已大家乖乖的去遞去醫院或者去醫院以台大醫院農總幾個醫院都有先示不會去提高關號會 |
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那這問題沒辦法解決啊我想委員也是專家啦我們最重要就是要讓他分級醫療落實我們政府的工作以及說我們一直叫了十幾十年都落實不了咧所以要努力所以要想盡辦法如果真的好做的工作也不會我們做了幾十年還在做啦這個跟你的DRG有沒有關係DRG啊DRG喔有一點關係喔 |
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188.314 |
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192.237 |
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以診斷來講 門診應該是沒有作用門診跟糖尿病是一個診斷來講是沒有關係的我想慢慢的讓我們第二個大的問題這個賴清德總統說到不同工不同酬什麼時候可以開始試試 |
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207.213 |
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214.437 |
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好我想這個部分健保署做很多這個賴總統這句話是講對的比如我們這樣講同樣的醫生看感冒的跟看心臟的很複雜看癌症的很複雜解釋的個別幾乎都10m看感冒的幾乎都很接近的老鼻水啦 咳嗽的啦基本上來講都是很接近的 |
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235.01 |
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245.331 |
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你們現在看整個是一樣的啊所以賴總統講這句話是對的不同共 不同仇對 你們是不是可以試試我這個一直在努力我想不是 要是告訴我們時間不要啊 |
| transcript.whisperx[11].start |
246.894 |
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252.158 |
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蘇蘇長跟委員報告一下跟委員報告確實啦像一個診啦能夠看到100個表示都很簡單啦所以那個診察費不用太高可是呢相對的如果一個病人要看二三十分鐘我們應該要給他高的診察費所以我們要會分成現在正在研議中的那麼下半年就會實施有所謂一般診察費因為我們的程序還要經過專家會議跟共同理定會議大概什麼時間嘛 給我們講一下大概最rough的 |
| transcript.whisperx[12].start |
276.495 |
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303.712 |
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最保守的應該在第三季啦所以明年的十月之前今年的十月之前我們可以落實賴總統所講的不同工不同酬我們是先從診察費那事實上我們今年上半年五月開始就已經先調了這個加護病房的費用急診的那些費用就調了42億了所以其實一直在進行 |
| transcript.whisperx[13].start |
304.392 |
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326.428 |
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那我剛剛提到的是門診在醫院的門診的診察費那麼把它分成一般跟複雜現在不認真做這個事情喔真的到後來找不到醫生喔那個醫生都跑去做美容的喔是也太多對不對 一樣是醫生喔這辛苦的要是做功德啦因為怎麼內科外科都做功德啦真的 做功德啦 |
| transcript.whisperx[14].start |
327.288 |
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343.084 |
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是不是這樣最後一個小問題是大問題這是川普的關稅喔我們總統說要從零開始大家就馬上想到什麼關稅其實中華民國最高的關稅是什麼你知道嗎跟你有關係不知道喔30% 逼民30%不是 |
| transcript.whisperx[15].start |
353.001 |
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364.395 |
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跟他叫做其他項目的什麼我查了一下就是什麼進口藥品30%是全國第一名的進口藥品以健康食品不是藥品的進口健康食品 |
| transcript.whisperx[16].start |
365.512 |
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371.615 |
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堅果健康食品是根本不完保健食品啊現在還要保護為什麼要課這樣你們講的就是要保護國內的健康食品業者為什麼要保護你告訴我跟委員報告一下訂關稅訂多少其實跟食藥署跟衛福部應該是沒有關係是產發署不是我們訂的是產發署跟財政部訂出來的關稅的 |
| transcript.whisperx[17].start |
395.287 |
| transcript.whisperx[17].end |
419.879 |
| transcript.whisperx[17].text |
可是你們管他 家屬管他 健康食品 健康食品你不管嗎進口這個食品是在一般的食品的進口裡面呢 要關稅的部分呢是在那裡 可是不是關稅要管食品進來這個安全性有效性等等是我們在管的可是要訂多少關稅的部分其實是不是我們不是你們訂的對 不是我們訂的可是你們可以提供意見啊對 所以我們其實面對這個議題之下就 |
| transcript.whisperx[18].start |
421.46 |
| transcript.whisperx[18].end |
432.347 |
| transcript.whisperx[18].text |
提到因為談從零談起應該會往下降嘛所以這些食品保健相關食品的產線跟藥品會重疊所以我們希望有機會導演到我可以跟你講會變成零這意想不大的因為老實講這個國外的健康食品進來實在太貴了降為零國內的業者應該不會講廢話 |
| transcript.whisperx[19].start |
447.216 |
| transcript.whisperx[19].end |
461.163 |
| transcript.whisperx[19].text |
我們希望國內的業者如果能夠製造協名藥的話,能夠盡量他的產線來製造協名藥才能夠就地生產,就地來行銷,保障我們的一個產業鏈經國藥有沒有客觀稅?沒有都沒有客觀稅?藥品沒有好謝謝委員,謝謝 |